Hybrid Care Navigator- BH Foster

About the job

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.We are currently filling 2 roles focused in Foster Care-experience in this area is preferred.This position requires 50% field based work in the state of Kansas. Applicants must reside in the state of Kansas preferably in one of the below areas/counties Counties in Western Kansas Logan, Gove, Trego, Ellis, Wichita (county), Scott, Lane, Ness, RushCounties in South East Kansas Greenwood, Elk, Chautauqua, Woodson, Wilson, Montgomery, Allen, Neosho, Labette, Bourbon, Crawford, CherokeePosition Purpose Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to the development of a personalized care plan/service plan for members and educates members and their families/caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care through advocacy and care coordination.

• Evaluates the needs of the member, barriers to care, the resources available, and recommends and facilitates the plan for the best outcome
• Develops or contributes to the development of a personalized care plan/service ongoing care plans/service plans and works to identify providers, specialists, and/or community resources needed for care
• Provides psychosocial and resource support to members/caregivers, and care managers to access local resources or services such as employment, education, housing, food, participant direction, independent living, justice, foster care) based on service assessment and plans
• Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified care or services are accessible to members in a timely manner
• May monitor progress towards care plans/service plans goals and/or member status or change in condition, and collaborates with healthcare providers for care plan/service plan revision or address identified member needs, refer to care management for further evaluation as appropriate
• Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
• May perform on-site visits to assess member’s needs and collaborate with providers or resources, as appropriate
• May provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits
• Other duties or responsibilities as assigned by people leader to meet the member and/or business needs
• Performs other duties as assigned
• Complies with all policies and standards